NICHOLAS ETHAN KEMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268524

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ETHAN

Last Name

KEMP

Business Name

NICHOLAS ETHAN KEMP

Original Issue Date

10/17/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/20/2021